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  • How can we make complex feeding decisions in stroke easier?

    Author(s)
    Schwartz, Maria
    Coccetti, Anne
    Cardell, Elizabeth
    Kalapac, Naomi
    Lovaszy, Rachel
    Griffith University Author(s)
    Cardell, Elizabeth A.
    Year published
    2019
    Metadata
    Show full item record
    Abstract
    Background Dysphagia (difficulty swallowing) is a common post-stroke complication, reported to affect almost half of stroke survivors. The management of dysphagia, particularly severe post stroke dysphagia, can be complex and fraught with ethical complexity. Aims The aim of this project was to utilise a formal quality improvement cycle to demonstrate and evaluate the introduction of a decision-making support tool and framework for complex dysphagia decision making to support and guide speech pathologists. Methods A quality improvement framework was applied to the development and evaluation of decision support tools for ...
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    Background Dysphagia (difficulty swallowing) is a common post-stroke complication, reported to affect almost half of stroke survivors. The management of dysphagia, particularly severe post stroke dysphagia, can be complex and fraught with ethical complexity. Aims The aim of this project was to utilise a formal quality improvement cycle to demonstrate and evaluate the introduction of a decision-making support tool and framework for complex dysphagia decision making to support and guide speech pathologists. Methods A quality improvement framework was applied to the development and evaluation of decision support tools for complex feeding. The decision support tools included introduction of standardised terminology, decision making flow charts, consent forms, patient and staff education resources and work place instructions Results Evaluation of the tools showed that they were well received by the speech pathologists and broader hospital staff. Presentation of case examples will highlight the utilisation and benefits of decision making tools in the stroke population. Conclusion/Discussion Decision making support tools in the area of complex dysphagia management were well received by clinicians and rapidly implemented. These tools may assist the multi-disciplinary team to make complex decisions which are medico-legally sound and in the best interest of the patients.
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    Conference Title
    International Journal of Stroke
    Volume
    14
    Issue
    1_suppl
    Publisher URI
    https://journals.sagepub.com/doi/full/10.1177/1747493019858233
    Subject
    Clinical sciences
    Neurosciences
    Nutrition and dietetics not elsewhere classified
    Other health sciences
    Dysphagia
    Science & Technology
    Life Sciences & Biomedicine
    Clinical Neurology
    Peripheral Vascular Disease
    Publication URI
    http://hdl.handle.net/10072/399988
    Collection
    • Conference outputs

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